Evaluation and Management services drive $520,220 in Medicaid payments in Yuma for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Yuma billed $520,220 for Evaluation and Management category services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The figure marks a 26.8% increase over 2023 when providers claimed $410,193 for these services.

Medicaid operates as a public health insurance program administered by states and supported through both federal and state government funds. Covering low-income families and individuals, seniors, children and those with disabilities, Medicaid is one of the largest segments of the overall U.S. health care system.

As Medicaid spending originates from taxpayer funding, shifts in local claims provide insight into how public health care funds are allocated in a given community.

The “Evaluation and Management” group consists of Medicaid-reimbursed services classified by type of care, using uniform HCPCS and CPT coding. For this report, each billing code was placed in a single service category via consistent code prefixes and number ranges, helping examine related services as a group, while reducing double-counting and ensuring precise rankings year to year.

Spending increased in several service categories, but Evaluation and Management led all categories in Yuma by total Medicaid payments in 2024.

Across Colorado, the Evaluation and Management category placed fourth in total Medicaid payments for the year.

From five years prior to 2024, Medicaid payments linked to Evaluation and Management in Yuma went up by $87,161, or 20.1%. Periods of accelerated growth were observed, with significant annual increases in 2021 and 2022.

Though Evaluation and Management payments were distributed across Yuma, a few ZIP codes had the largest shares. In 2024, ZIP code 80759 accounted for all of the $520,220 in Medicaid payments for this category—representing 100% of Evaluation and Management Medicaid payments in the city that year.

Within Evaluation and Management, a small number of billing codes received the bulk of Medicaid payments.

When comparing trends, Medicaid payments in Yuma for Evaluation and Management increased by 26.8% between 2024 and 2023, outpacing a 25.5% change across all Medicaid claim groups locally for this span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion for fiscal 2023, equaling nearly 18% of national health care expenditures, up steeply from roughly $613.5 billion in 2019, before the onset of COVID-19.

This rise reflects almost 40% growth in a short timeframe, primarily the result of expanded program enrollment and greater service use during and following the pandemic.

Recent federal budget acts under the Trump administration have proposed substantial reductions to federal Medicaid support and changes to the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to slash over $1 trillion from federal Medicaid spending over 10 years and implements policies like work requirements and higher cost-sharing that could affect coverage for some recipients. These adjustments are anticipated to shift more financial responsibility onto states and slow federal contributions, even as Medicaid continues to serve tens of millions of Americans.

Medicaid Payments Tied to Evaluation and Management in Yuma, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $433,058 -12.1%
2021 $548,430 26.6%
2022 $499,172 -9%
2023 $410,193 -17.8%
2024 $520,220 26.8%
Top Categories by Medicaid Payments in Yuma, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $520,220 98.6%
2 Ambulance and Other Transport Services and Supplies $5,042 1%
3 Pathology and Laboratory Procedures $1,535 0.3%
4 Surgery $579 0.1%
5 Medicine Services and Procedures $17 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Yuma, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
99213 Office o/p est low 20 min $416,816 63
99214 Office o/p est mod 30 min $75,032 21
99284 Emergency dept visit mod mdm $10,244 4
99212 Office o/p est sf 10 min $7,309 2
99394 Prev visit est age 12-17 $4,629 1
99392 Prev visit est age 1-4 $3,089 1
99283 Emergency dept visit low mdm $2,623 3
99211 Off/op est may x req phy/qhp $473 2

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.



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